| NPI | 1932778792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ELLERBE Partner 843-421-3032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2022-07-06 |